SynthesisInternational journal of environmental research and public health2023
Climate Change-Related Environmental Exposures and Perinatal and Maternal Health Outcomes in the U.S.
Synthesis in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The Impact of Natural Disasters on Adult Mental Health: An Umbrella Review of Systematic Reviews and Meta-Analyses.Research in nursing & health · 2026Pooled it
- Residential greenness and birth outcomes: evidence for reduced low birth weight from an umbrella review and harmonized normalized difference vegetation index synthesis.Frontiers in public health · 2026Pooled it
- A systematic review and meta-analysis of heat exposure impacts on maternal, fetal and neonatal health.Nature medicine · 2025Pooled it
- Climate change and gendered vulnerability: A systematic review of women's health.Women's health (London, England)Pooled it
- Respiratory Emergencies in Disasters: A Narrative Review.Thoracic research and practice · 2026Article
- A Spatial Analytic Approach to Maternal Health Following Hurricane Florence (2018).Maternal and child health journal · 2026Article
- Factors that influence the adoption of heat-health protective actions during pregnancy: a cross-sectional study conducted in San Antonio, Texas, United States, in 2024.BMC pregnancy and childbirth · 2026Article
- Heat spells and birth and peripartum pregnancy complications in Germany: a scoping review.Archives of gynecology and obstetrics · 2026Article
- Effects of projected increases in heat exposure on linguistic development in two-year-old children: A longitudinal modified treatment policy analysis.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Climate Change and Reproductive Health.Endocrine reviews · 2025Review
- Trends in adverse pregnancy outcomes in Louisiana, 2017 to 2022.Scientific reports · 2025Article
- Article
- What tools are available to assess climate and environmental health impacts on perinatal families with an equity lens? A rapid review of the Canadian context.BMC pregnancy and childbirth · 2024Review
- Strengthening Maternal and Infant Health Resilience Before Weather and Climate Disasters: Preparedness Resources from CDC's Division of Reproductive Health.Journal of women's health (2002) · 2024Article
- The connection between climate change and perinatal mental health.Frontiers in psychiatry · 2024Article
- Mental health impacts of climate change and extreme weather events on mothers.European journal of psychotraumatology · 2024Article
- Perinatal Mental Health Outcomes Following Natural Disasters.JAMA psychiatry · 2023Article
- Physical exposures in the work environment during pregnancy - a challenge for risk assessment.Scandinavian journal of work, environment & health · 2023Article
- Trends in Gestational Weight Gain in Louisiana, March 2019 to March 2022.JAMA network open · 2023Article
- Transformative strategies for enhancing women's resilience to climate change: A policy perspective for low- and middle-income countries.Women's health (London, England)Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeClimate change poses one of the greatest risks to human health as air pollution increases, surface temperatures rise, and extreme weather events become more frequent. Environmental exposures related to climate change have a disproportionate effect on pregnant women through influencing food and water security, civil conflicts, extreme weather events, and the spread of disease. Our research team sought to identify the current peer-reviewed research on the effects of climate change-related environmental exposures on perinatal and maternal health in the United States. DESIGN AND
methodsA systematic literature review of publications identified through a comprehensive search of the PubMed and Web of Science databases was conducted using a modified Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. The initial search across both databases identified a combined total of 768 publications. We removed 126 duplicates and 1 quadruplet, and the remaining 639 publications were subjected to our pre-set inclusion and exclusion criteria. We excluded studies outside of the United States. A total of 39 studies met our inclusion criteria and were retained for thematic analysis.
findingsA total of 19 studies investigated the effect of either hot or cold temperature exposure on perinatal and maternal health outcomes. The effect of air pollution on perinatal outcomes was examined in five studies. A total of 19 studies evaluated the association between natural disasters (hurricanes, flash floods, and tropical cyclones) and perinatal and maternal health outcomes. High and low temperature extremes were found to negatively influence neonate and maternal health. Significant associations were found between air pollutant exposure and adverse pregnancy outcomes. Adverse pregnancy outcomes were linked to hurricanes, tropical cyclones, and flash floods.
conclusionsThis systematic review suggests that climate change-related environmental exposures, including extreme temperatures, air pollution, and natural disasters, are significantly associated with adverse perinatal and maternal health outcomes across the United States.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.